Continuing Education
SUMMER 2016
HIGH SCHOOL
PROGRAM
Student and Parent Handbook
Advancement • Recovery • Enrichment
HIGH SCHOOL CREDIT COURSES
Continuing Education
Advance your high school career, enroll in a class that you love
but just can’t fit in your schedule, or master or make up a needed
credit from a previous year. One- and two-semester courses in
a variety of subjects are available to you at several locations.
We also offer online courses in select subject areas. You should
check with your high school guidance counselor to assure credit
will be granted for these courses.
SUMMER 2016 HIGH SCHOOL PROGRAM
Student and Parent Handbook
High School Credit courses are taught by high school instructors
using high school textbooks and following the syllabi of high
school courses. Students enrolled in these courses must comply
with the expectations and policies provided in this Student and
Parent Handbook, in addition to the policies of the site location
for their course(s).
Contents
Welcome to College of DuPage (COD). We are pleased that you
have chosen to catch up, keep up or accelerate your academic
career by participating in the COD High School Summer Program.
There are multiple options available at College of DuPage for high
school students, whether you take one summer course, participate
in a career program or continue your education at the College.
All students are asked to read and understand the information outlined
in this handbook. We also ask for parents/guardians to be familiar
with the information in this document, as partners in their student’s
educational experience.
In addition to credit programs, COD offers summer enrichment
classes, test preparation courses, career camps and tutoring. For more
information on any of these programs, contact us at (630) 942-2208.
Have a happy and productive summer!
College of DuPage Continuing Education
(630) 942-2208
ce@cod.edu
Follow College of DuPage Continuing Education
www.cod.edu/conted
www.facebook.com/CEatCOD
www.twitter.com/CEatCOD
REGISTRATION REQUIREMENTS
Student Eligibility......................................3
Tuition and Refunds..................................3
Student Accommodations........................3
ATTENDANCE
Attendance Policy....................................3
STUDENT CODE OF CONDUCT
AND EXPECTATIONS
Student Code of Conduct........................4
Responsible Use of Computer
Equipment and Internet Access............4
Cell Phone Policy.....................................4
Student Responsibility.............................5
Student Issues..........................................5
Parent/Guardian Note..............................5
IMPORTANT INFORMATION
Important Dates........................................5
Class Locations........................................5
Textbooks.................................................5
Grading.....................................................6
Contact Information.................................6
Summer 2016 Textbook Lists...................7
FORMS
Release of Grade Form............................9
Emergency Contact Form......................13
Handbook Signature Form.....................15
COLLEGE OF DUPAGE
Vision
College of DuPage will be the primary college district residents choose for high quality education.
Mission
REGISTRATION REQUIREMENTS
Student Eligibility
COD high school programs are open to students entering or
currently enrolled in high school. The summer high school
credit program is an extension of the regular academic program
designed to provide students with opportunities to gain academic
credit or to explore interests by auditing a class. It is an excellent
occasion for incoming freshmen to become more familiar with
high school expectations. All students must meet with their high
school guidance counselor to determine credit eligibility.
Tuition and Refunds
General high school courses are priced at $349 per semester.
Science high school courses include a lab fee for $369 per
semester. Course textbooks can be rented or purchased by
the student.
A full refund will be granted if a student withdraws from first
semester classes by Friday, June 3, by 5 p.m. Withdrawals for
second semester must occur prior to Friday, June 24, by
5 p.m. Full refunds will be provided for classes that do not meet a
minimum enrollment one week prior to the scheduled start.
No refunds will be issued for the following reasons:
• If the student registers for class and does not attend.
• If the student withdraws after the above-mentioned withdrawal
dates for any reason.
• If the student is dropped for violation of the Student Code of
Conduct-Appropriate Use of Computer/Internet and/or the
High School/Attendance Policy.
Student Accommodations
In accordance with the American with Disabilities Act (ADA),
College of DuPage Continuing Education provides the
opportunity for students to succeed. When appropriate,
accommodations will be provided to eligible students. If
requesting accommodations, please notify the Center for Access
and Accommodations at least 30 days prior to the start of the first
class. We request you follow the provided deadlines:
Semester 1: Monday, May 9
Semester 2: Tuesday, May 31
Students notifying the Center after this deadline may have a delay
in receiving services.
To request accommodations, please contact:
Center for Access and Accommodations
Student Services Center (SSC), Room 3249
Phone: (630) 942-2154, TDD: (630) 858-9692, Fax: (630) 942-2071
access@cod.edu
ATTENDANCE
Attendance Policy
College of DuPage offers a two-semester summer High School
Credit program. This program is an extension of the academic
curriculum designed to provide students with opportunities to
gain academic credit or to explore interests by auditing a class.
Please note, however, the level of commitment needed; one day
in the summer program equals one week of a regular school year.
Prompt and consistent attendance is mandatory to ensure the
same contact hours and teaching and learning opportunities as
during the school year. Students should not register for classes
for high school credit if they have vacation plans, athletic
camps/competitions, or other obligations that will prevent
them from attending class. The latest possible time to receive a
refund is 24 business hours prior to the start of your class.
Absences: Summer school is a condensed school experience.
However, illness and emergencies do occur. Students are allowed
two (2) absences per semester course; more than two absences
per semester course will result in a “Withdraw” grade being
issued for no credit, without a refund. All absences are treated
equally; there are no “excused” or “unexcused” absences for
summer classes.
Tardies: Students are expected to arrive to class and return from
breaks on time. Four (4) tardies from either the start of class or
from a scheduled break equals an absence. Tardiness exceeding
15 minutes will be considered an absence. Four tardies, whether
for late arrival time to class or not turning in handbook pages,
equals an absence.
Forms: The Student and Parent Handbook forms must be
returned before the first day of class. Please see the forms
at the conclusion of the handbook for signature pages. Lack of
compliance will result in the student remaining in class but being
marked tardy for the day and subsequent days until forms are
returned. Four tardies, whether for late arrival time to class or
not turning in handbook pages, equals an absence.
Any combination of absences and tardies that exceed two (2)
“days” will result in a “Withdraw” grade being issued for no credit,
without a refund. Every effort will be made to notify the parent/
guardian of absences or tardies. Students should not register for
summer high school credit classes if they anticipate a conflict
with their personal schedule.
The mission of College of DuPage is to be a center for excellence in teaching, learning and cultural
experiences by providing accessible, affordable and comprehensive education.
CE-16-20816(2/16)
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Final Exams: If a student is enrolled in a class that requires a
final exam, the final will be given on the last day of class in the
semester. If a student is absent for the final exam, COD cannot
and will not provide an opportunity for any make-up exam, nor
will COD administer the final exam early or proctor the exam at a
later time. The grades the student will receive for the final exam
in these cases will be recorded as an “F” (zero points) and will be
factored into the semester grade.
The respective townships shall impose police action for violation
of smoking ordinances. This applies to all students on and off
campus, under the age of 18.
Textbooks: Most classes require a textbook: Textbooks, when
needed, are available for purchase or rent at the Follett College of
DuPage Bookstore located on campus in Glen Ellyn at 425 Fawell
Boulevard in the Student Resource Center (SRC). Students who
do not bring their textbooks with them to class by the second
day will be issued a tardy. Additional days without the course
textbook will result in additional tardies assigned. You can visit
www.codbooks.com to rent or purchase the course textbook.
See page 7 for the textbook list.
• Intentionally damaging, destroying College/school property
(including graffiti); attempting to damage or destroy College/
school property; or theft of College/school property, property of
College/school personnel or other students. Students engaging
in such activity shall be liable for any and all costs incurred.
Grades issued by College of DuPage for high school summer
classes are final. Students must complete, sign and return the
Release of Grade form for College of DuPage to indicate their
grade information and whether to send it to the appropriate
high school.
STUDENT CODE OF CONDUCT AND EXPECTATIONS
Student Code of Conduct
The opportunity to study at College of DuPage is a privilege and
students are accountable for their own conduct. The intense and
abbreviated summer schedule warrants the institution of a strict
behavior policy. Disciplinary procedures often instituted during
the academic school year may not apply to this summer school
program. When a student is found to be in violation of the Student
Code of Conduct or the Appropriate Use of Computers, the site
supervisor or high school program coordinator, in conjunction
with the Dean of Continuing Education, will assess the situation
and make an irrevocable decision.
The following types of conduct are examples that shall result in
removal from the program:
• Assaulting, threatening, harassing or endangering the health
or safety of students, College/school personnel or anyone else
within College/school facilities.
• Verbally abusing College/school personnel or students.
• Willfully impeding, obstructing, interfering with or disrupting the
performance of the College/school education function.
• Failing to cooperate with Public Safety Police personnel in the
lawful performance of their duties.
• Illegal or unauthorized use of computers and the Internet as
detailed below in regard to the Responsible Use of Computer
Equipment and Internet Access.
Cheating, plagiarizing, forgery or any other form of academic
dishonesty shall result in the following:
• Students caught in any form of cheating will receive an
automatic zero on the assignment. Parents will be notified.
• A repetition of such an offense shall result in an “F” for the
semester grade and removal from the program.
The following types of conduct are examples for which police
action and removal from the program shall be enforced:
• Possessing, using, distributing, attempting to use or distribute
weapons, illegal or controlled substances or look-alikes,
including drugs, alcoholic beverages and fireworks.
Responsible Use of Computer Equipment
and Internet Access
All use of the Internet must be in support of the curriculum
set forth in the class. Students shall not play online games,
participate in “chat rooms” or use computers for non-academic
related activities unless given specific permission by the
instructor. Students will be allowed Internet access when it
relates to classroom work and are restricted to use the software
that pertains to their specific coursework.
Ethical Use
If a class requires online access, students should only upload or
mail material that is accurate, inoffensive, non-threatening and
legal. If, at any time, the classroom instructor or other students
find a student online viewing/writing material that is threatening or
offensive, that student will have online access revoked and will be
removed from the program, as this practice is in violation of the
Continuing Education Student Code of Conduct. Students must
inform the classroom instructor immediately if they accidentally
encounter any inappropriate material. The College cannot be held
accountable for the materials found on the Internet, although
every attempt will be made by College of DuPage employees to
prevent students from viewing inappropriate materials.
Unacceptable Use
The following list, although not inclusive, cites examples of
unacceptable use of the Internet:
• Violation of copyright.
• Downloading of any type of software, plug-in, etc., to a
computer on the College of DuPage campus or at any of its
off-campus sites.
• Online purchase or advertising of materials or services.
• Posting material created by someone else without his/
her consent.
• Wasting of supplies such as paper or toner cartridges.
• Providing personal information about themselves or others
while online.
Cell Phones
We recognize that cell phones fulfill a necessity for safety and
communication. Students may possess cell phones and other
electronic devices while in school and while on school property.
However, the use and possession of electronic devices will be
4 | Student and Parent Handbook Continuing Education Summer High School Program | www.cod.edu/conted
permitted in approved areas only. These devices may include,
but are not limited to, cell phones, smart phones, personal
listening devices, personal digital assistants, electronic paging
devices, ear buds, portable gaming systems, electronic
computing devices, etc. Use of these devices will be allowed
only in non-instructional areas. Use of electronic devices for
instructional purposes will be permitted only in classrooms where
the teacher has designated the use for educational purposes.
The classroom teacher has the sole discretion to allow this in his
or her instructional setting. In areas where there is a reasonable
expectation of privacy, such as the restrooms, locker rooms,
nurse’s office, etc. the use of electronic devices is prohibited at
all times.
Use of any electronic device to engage in any of the following is
strictly prohibited:
• Failure to comply with an instructor’s directive for use in an
instructional setting.
• Academic dishonesty.
• Planning inappropriate behavior that would impact the orderly
process of the class or the educational process.
• Sending, receiving or possessing sexually explicit or otherwise
inappropriate pictures, images or statements.
• Talking and/or transmitting pictures, videos, or audio recording
of another, without that person’s consent.
• Bullying, intimidating, threatening, or harassing others.
• Identity theft.
• Interfering with a school investigation.
• Creating a disruption to the educational process.
Violations will result in the administration of the appropriate
consequences. It will be the responsibility of the student
to ensure that all rules and regulations related to the use of
electronic devices are adhered to completely. College and school
policies, as well as classroom guidelines must be followed.
Violators will be subject to disciplinary action, which include the
confiscation of the device. Cell phones that are seen, heard in
unapproved areas or inappropriately in use in other areas may
be confiscated, turned in to the site supervisor and returned
to the student at the end of the class, with a warning issued
to the student and the parent notified. Subsequent offenses
will result in a removal from the course with a “Withdrawal”
and no refund. The College is not responsible for lost or stolen
electronic devices.
Student Responsibility
The instructor is available to answer questions about course
materials or class policies. If students have any concerns about
their performance in the course or are not sure of an assignment,
the student should speak with the instructor.
Student Issues
If there are issues or concerns about a course or an instructor, the
student should attempt to resolve the issue with the instructor.
If the student and instructor are unable to resolve the matter,
the student should report this to the site supervisor. If the matter
cannot be resolved at this level, the student should make an
appeal to the High School Program Coordinator and then may be
reviewed by the College of DuPage Continuing Education Dean.
Parent/Guardian Note
You are the first and most important teacher your child will ever
have. The opportunity to work with you and your child as a team
is important to all of us. This handbook is issued to help students
and parents become familiar with the general policies of the high
school program at College of DuPage and the College itself.
Please read the information and contact Continuing Education
regarding any questions about the information enclosed.
IMPORTANT INFORMATION
Important Dates
College of DuPage offers a two-semester High School Summer
Program. The first semester runs from Tuesday, June 7 to
Tuesday, June 28, at College of DuPage, Westmont Center and
Naperville Yellow Box locations. The second semester runs
from Thursday, June 30 to Friday, July 22. There is no class on
Monday, July 4. These courses take place from Monday to Friday
and are offered at a variety of times.
District 204 (Metea Valley, Neuqua Valley or Waubonsie Valley)
classes are scheduled from 7:30 a.m. to 12:50 p.m., Monday
to Thursday. First semester is from Tuesday, May 7 to Monday,
June 27; second semester runs from Wednesday, June 29 to
Wednesday, July 20. There is no class on Monday, July 4.
Class Locations
Glen Ellyn classes will be held on campus at:
College of DuPage
425 Fawell Blvd., Glen Ellyn, IL 60137-6599
Buildings
Berg Instructional Center – BIC
Health and Science Center – HSC
Student Resource Center – SRC
Additional Locations
Metea Valley High School
1801 N. Eola Road, Aurora, IL 60502
Naperville Yellow Box
(Community Christian Church)
1635 Emerson Lane , Naperville, IL 60540
Neuqua Valley High School
2360 95th St., Naperville, IL 60564
Waubonsie Valley High School
2590 Ogden Ave., Aurora, IL 60504
Westmont Center
650 Pasquinelli Drive, Westmont, IL 60559
Textbooks
Textbooks are not included in the course fee for Continuing
Education summer high school courses. Course textbook
information is provided online, including the ISBN numbers, at
www.cod.edu/youth. Textbooks, when needed, are available for
purchase or rent from the Follett College of DuPage Bookstore.
The Bookstore is located on campus in Glen Ellyn, Monday to
Thursday, 7:45 a.m. to 7 p.m. You can visit www.codbooks.
com to rent or purchase the course textbook. See textbook list
on page 7.
Register Online at myaccess.cod.edu | For more information, call (630) 942-2208 | 5
Grading
Upon completion of a summer school course, grades will be sent
to the home address. If the student wishes to inform his/her high
school of the grade, a Release of Grade form must be completed
and signed before the grade is forwarded. The letter grades are
A, B, C, D, F, X or W.
Letter Grade
A = 90 to 100 percent
B = 80 to 89 percent
C = 70 to 79 percent
D = 60 to 69 percent
F = 59 percent and below
X = Audit Course (no grade awarded)
W = Withdrawal (no grade awarded)
P/F (Pass/Fail) is for the Illinois and
U.S. Constitution Tests only
Audit Grade
Students who are looking for enrichment only would benefit from
auditing a course. An “X” is recorded on the grade report and
sent home. Tests and quizzes are not mandatory and grades are
not recorded. Attendance is recorded and students must adhere
to all summer school policies and procedures. Audit grades are
not reported to high schools, and audits are irrevocable. Please
indicate on the Grade Release Form if you want to audit the
course; this decision is irrevocable.
Withdrawal for High School Credit
“W” is received from the instructor when the student has more
than two absences (four tardies = one absence) per semester
course or for any violation listed in the High School Attendance
Policy or the Student Code of Conduct – Appropriate Use of
Computer/Online Resources Contract. If a student voluntarily
withdraws from a course, he/she should contact the Continuing
Education office to officially change the Grade Release Form to
ensure that no grade report is generated.
Submitting Grades
Grade reports will be sent to the high school when a student
has completed and signed the Release of Grade forms. A grade
release form is needed for each course completed by the student,
including semester courses. Please note, Continuing Education
keeps all grades on file for six (6) years. Grades submitted from
the College of DuPage Summer High School Program to the local
high schools are final. This policy is designed to maintain the
grade/transcript as an accurate and complete record of meeting
course requirements. Contact Continuing Education for future
Grade Release inquiries.
Progress Reports for High School Credit
Student progress reports will be sent home with the student at
least once during each semester. The report includes student
attendance as well as the current grade. Please look for those
reports and contact Continuing Education if you haven’t received
them at (630) 450-2208.
Should a parent need to contact an instructor for any reason, all
instructors provide a telephone number and/or email address
on his/her syllabus. Instructors cannot be reached during class
hours or interrupted during instruction time.
CONTACT INFORMATION
College of DuPage
Continuing Education High School Programs
(630) 942-2208 phone
(630) 942-3785 fax
youthacademy@cod.edu
6 | Student and Parent Handbook Continuing Education Summer High School Program | www.cod.edu/conted
SUMMER 2016 TEXTBOOK LIST
Algebra 1 (Sem 1 & 2)
English 10 (Sem 1 & 2)
Physics (Sem 1 & 2)
Common Core Algebra 1
Pearson High School Math, ©2015
ISBN: 9780133281149
Literature: Timeless Voices, Timeless
Themes: The American Experience
Prentice Hall, ©2005
ISBN: 9780131804364
Conceptual Physics
Prentice Hall, ©2006
ISBN: 9780131663015
Algebra 2 with Trigonometry
(Sem 1 & 2)
Common Core Algebra 2
Pearson High School Math, ©2015
ISBN: 9780133281163
Geometry (Sem 1 & 2)
Common Core Geometry
Pearson High School Math, ©2015
ISBN: 9780133281149
Pre-Calculus (Sem 1 & 2)
Pre-Calculus with Limits
Houghton Mifflin
ISBN: 0618394788
LANGUAGE ARTS
British Literature
Elements of Literature
Holt, Rinehart, & Winston, Inc.
Sixth Course, ©2007
ISBN: 9780030424199
English 9 (Sem 1 & 2)
Elements of Literature
Rinehart, & Winston, Inc.
Third Course, ©2007
ISBN: 9780030424144
FOREIGN LANGUAGE
Spanish 1 (Sem 1 & 2)
Avancemos!
Holt McDougal, Level 1, ©2010
ISBN: 9780554025315
Spanish 2 (Sem 1 & 2)
Avancemos!
Holt McDougal, Level 2, ©2010
ISBN: 9780554025322
Spanish 3 (Sem 1 & 2)
Avancemos!
Holt McDougal, Level 3, ©2010
ISBN: 9780554025339
SCIENCES
Biology (Sem 1 & 2)
Biology, Illinois Edition
Glencoe, ©2007
ISBN: 9780078759864
SOCIAL STUDIES
American Government
U.S. Government: Democracy in Action
Glencoe/McGraw-Hill, ©2010
ISBN: 9780078799822
U.S. History (Sem 1 & 2)
The Americans
McDougal-Littell, ©2012
ISBN: 9780547491158
BUSINESS AND
CONSUMER EDUCATION
Consumer Education
Consumer Education and Economics
Glencoe/McGraw-Hill, ©2008
ISBN: 9780078767807
Economics
Macroeconomics
Glencoe/McGraw-Hill, 16th ed., ©2005
ISBN: 0072982721
Chemistry (Sem 1 & 2)
Living By Chemistry, 2nd Edition
Angelica M. Stacy, ©2010
ISBN: 9781464142314
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College of DuPage Continuing Education
RELEASE OF GRADE FORM
Privacy laws dictate that the following form must be completed in order for the College of DuPage to release and/or send
your grade to any school. Please print clearly. Questions may be directed to Continuing Education at (630) 942-2208.
For the following course:
STUDENT NAME
STUDENT DATE OF BIRTH
COURSE CODE #
Semester 1
YEAR OF SUMMER COURSE
SEMESTER
I am auditing this course without a grade awarded (this decision is irrevocable)
I do not want my grade sent to my high school
I authorize my grades released to the following High School:
Downers Grove North High School, 4436 Main Street, Downers Grove, IL 60515
Downers Grove South High School, 1436 Norfolk Street, Downers Grove, IL 60516
Glenbard East High School, 1014 S. Main Street, Lombard, IL 60148
Glenbard South High School, 23W200 Butterfield Road, Glen Ellyn, IL 60137
Glenbard West High School, 670 Crescent Blvd., Glen Ellyn, IL 60137
Hinsdale Central High School, 5500 S. Grant Street, Hinsdale, IL 60521
Lake Park High School, 500 W. Bryn Mawr Avenue. Roselle, IL 60172
Lisle Senior High School, 1800 Short Street, Lisle, IL 60532
Metea Valley High School, 1801 N. Eola Road, Aurora, IL 60502
Naperville Central High School, 440 Aurora Avenue, Naperville, IL 60540
Naperville North High School, 899 Mill Street, Naperville, IL 60563
Neuqua Valley High School, 2360 95th Street, Naperville, IL 60564
Waubonsie Valley High School, 2590 Ogden Avenue, Aurora, IL 60504
Wheaton Warrenville South High School, 1993 Tiger Trail, Wheaton, IL 60189
Willowbrook High School, 1250 S. Ardmore Avenue, Villa Park, IL 60181
OTHER
STUDENT/PARENT SIGNATURE 8|
DATE
|9
College of DuPage Continuing Education
RELEASE OF GRADE FORM
Privacy laws dictate that the following form must be completed in order for the College of DuPage to release and/or send
your grade to any school. Please print clearly. Questions may be directed to Continuing Education at (630) 942-2208.
For the following course:
STUDENT NAME
STUDENT DATE OF BIRTH
COURSE CODE #
Semester 2
YEAR OF SUMMER COURSE
SEMESTER
I am auditing this course without a grade awarded (this decision is irrevocable)
I do not want my grade sent to my high school
I authorize my grades released to the following High School:
Downers Grove North High School, 4436 Main Street, Downers Grove, IL 60515
Downers Grove South High School, 1436 Norfolk Street, Downers Grove, IL 60516
Glenbard East High School, 1014 S. Main Street, Lombard, IL 60148
Glenbard South High School, 23W200 Butterfield Road, Glen Ellyn, IL 60137
Glenbard West High School, 670 Crescent Blvd., Glen Ellyn, IL 60137
Hinsdale Central High School, 5500 S. Grant Street, Hinsdale, IL 60521
Lake Park High School, 500 W. Bryn Mawr Avenue. Roselle, IL 60172
Lisle Senior High School, 1800 Short Street, Lisle, IL 60532
Metea Valley High School, 1801 N. Eola Road, Aurora, IL 60502
Naperville Central High School, 440 Aurora Avenue, Naperville, IL 60540
Naperville North High School, 899 Mill Street, Naperville, IL 60563
Neuqua Valley High School, 2360 95th Street, Naperville, IL 60564
Waubonsie Valley High School, 2590 Ogden Avenue, Aurora, IL 60504
Wheaton Warrenville South High School, 1993 Tiger Trail, Wheaton, IL 60189
Willowbrook High School, 1250 S. Ardmore Avenue, Villa Park, IL 60181
OTHER
STUDENT/PARENT SIGNATURE 10 |
DATE
| 11
College of DuPage Continuing Education
EMERGENCY CONTACT INFORMATION
STUDENT NAME
STUDENT DATE OF BIRTH
ADDRESS CITY
SEM 1: COURSE TITLE
COURSE CODE
SEM 2: COURSE TITLE
COURSE CODE
ZIP CODE
WAIVER OF LIABILITY AND EMERGENCY MEDICAL RELEASE
(Any medications necessary for your child should be taken at home before the student comes to class.)
I authorize College of DuPage personnel to take appropriate action in the event of an emergency. Students with medical
emergencies will be taken to the nearest hospital, and I understand that I am responsible for all costs incurred in relation to my
child. I release College of DuPage and its directors, officers, trustees, employees and agents from all liability, in accordance with
current state and federal law, arising from participation in the Continuing Education program. I also understand that if my son or
daughter becomes ill or engages in destructive behavior, the emergency contact will be called to take him or her home.
PARENT (GUARDIAN) SIGNATURE
KNOWN ALLERGIES OR MEDICAL CONCERNS
Please prioritize the following phone numbers. Please print all information legibly. Number them in the order which we are most
likely to contact a parent or guardian. Only list persons authorized to pick up your child in the event of an emergency. Thank you!
1ST CONTACT: NAME
(
)
HOME PHONE
(
(
)
WORK PHONE
)
CELL PHONE
EMAIL ADDRESS
2ND CONTACT: NAME
RELATIONSHIP TO STUDENT
(
)
HOME PHONE
(
(
)
WORK PHONE
)
CELL PHONE
EMAIL ADDRESS
3RD CONTACT: NAME
RELATIONSHIP TO STUDENT
(
(
)
HOME PHONE
(
)
WORK PHONE
)
CELL PHONE
12 | Student and Parent Handbook Continuing Education Summer High School Program | www.cod.edu/conted
RELATIONSHIP TO STUDENT
EMAIL ADDRESS
Register Online at myaccess.cod.edu | For more information, call (630) 942-2208 | 13
College of DuPage Continuing Education
PHOTO AND VIDEO RELEASE
I hereby give College of DuPage permission to use any photograph or video footage of my child for public relations purposes
(i.e., flyers, catalogs, brochures). Please check appropriate box.
Yes
No
PARENT SIGNATURE
DATE
PARENT/STUDENT HANDBOOK SIGNATURE FORM
A parent/guardian signature for the Student/Parent Handbook constitutes an understanding and acceptance of policies/
conditions set forth by College of DuPage Continuing Education.
I acknowledge that I am fully aware of the consequences resulting from the violation of any of the policies listed above. I
understand that disciplinary action shall be applied in a consistent and non-discriminatory manner by the site supervisors
employed by College of DuPage at each of its locations. Their decisions involving disciplinary measures are binding and will
not be overruled by College of DuPage. A full copy of this Student/Parent Handbook is available at www.cod.edu/youth or a
paper copy can be obtained at the Continuing Education office, Student Resource Center (SRC), Room 1110.
I, the participant, and I, the parent/guardian, understand and agree to abide by the College of DuPage Continuing
Education Summer 2016 Student/Parent Handbook.
PRINT STUDENT NAME
STUDENT SIGNATURE DATE
PARENT/GUARDIAN SIGNATURE DATE
Return to College of DuPage Continuing Education prior to the first day of the semester.
Signed forms can be sent to:
Continuing Education
College of DuPage
425 Fawell Blvd., Glen Ellyn, IL 6013
Fax (630) 942-3785
youthacademy@cod.edu
14 | Student and Parent Handbook Continuing Education Summer High School Program | www.cod.edu/conted
Register Online at myaccess.cod.edu | For more information, call (630) 942-2208 | 15
CE-16-20816(2/16)
College of DuPage
425 Fawell Blvd.
Glen Ellyn, IL, 60137-6599